Volume Of Business Declaration Form - San Juan
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1Municipality
VOLUME OF BUSINESS DECLARATION
SAN JUAN
For Calendar Year ________________ ur other taxable year from ________________ to ________________
Please complete the following information
Fiscal Year
Business Telephone
Employer Social Security Number
Type of Tax:
NORMAL
EXEMPT
EXECUTED
Name of Individual, Industry, Business Or Services Office
Municipal Identification Number
Soc. Sec. Of Owner or Representative
Physical Address Of Business
Zip Code
New Address?
YES
NO
Class Of Industry, Business or Service
Type of Business:
No. Of Employees
Annual Payroll
Datein which business was established
Indiv.
Soc.
Corp.
Owners Name or Representative
Did you file a business volume last year?
Owners or Representative Position
YES
NO
Mailing Address
Zip Code
New Address?
YES
NO
Home Address of Owner or Representative
Zip Code
New Address?
YES
NO
Postal Address of Principal Office of Business Industry or Service Office
Zip Code
New Address?
YES
NO
VOLUME OF BUSINESS---------------------------------------------------------------------------------------------------------------------
MUNICIPAL RATE OF TAX------------------------------------------------------------------------------------------------------------------
TAX DUE------------------------------------------------------------------------------------------------------------------------------------------
PENALTY-----------------------------------------------------------------------------------------------------------------------------------------
DISCOUNT---------------------------------------------------------------------------------------------------------------------------------------
CREDIT FOR SIMILAR MUNICIPAL TAXES PAID OUTSIDE PUERTO RICO---------------------------------------------
TOTAL DUE---------------------------------------------------------------------------------------------------------------------------------------
CERTIFICATION
I certify that the business volume here declared has been calculated following the provisions of Act 113 of
July 10, 1974, as amended, known as the Municipal License Tax Act; that the financial attachments are in
accordance with the accounting books; that the copies of pages or schedules of the Puerto Rico Income Tax
return, where the income and operating expenses are reported, are a true and exact copy of those rendered to
the Treasury Department.
Date
Signature of taxpayer or Authorized Agent
OATH
SIGNATURE OF TAXPAYER OR AUTHORIZED REPRESENTATIVE:
AFF. #
SWORN AND SUBSCRIBED BEFORE ME BY
OF LEGAL AGE AND RESIDENT OF
PUERTO RICO PERSONALLY KNOWN TO ME OR WHOM I IDENTIFY
BY RELIABLE ALTERNATE METHOD TODAY
IN THE CITY OF
, PUERTO RICO
NOTARIAL
SEAL
SIGNATURE OF PERSON ADMINISTERING
TITLE
OATH
OFICIAL USE ONLY
DATE:
ENTER BY:
AUDIT BY:
DATE:
REV: FEB, 2006
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